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Finance, Revenue Cycle

CMS’ MSSP Proposed Changes Slammed by Leading ACO Organization

August 10, 2018  |  Rajiv Leventhal
article
The National Association of ACOs called CMS’ proposals to redo the MSSP “misguided,” noting that the changes, if finalized, “will upend the ACO movement by creating havoc with a significant overhaul introducing many untested and troubling policies.”

BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program

August 9, 2018  |  Rajiv Leventhal and Heather Landi
article
The Centers for Medicare & Medicaid Services (CMS) is proposing a new direction for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP), with the goal to push these organizations into two-sided risk models.

Dr. David Nash on Population Health: Physicians Don’t Grasp It

August 6, 2018  |  Rajiv Leventhal
article
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, discusses the population health landscape with Healthcare Informatics

In Virginia, Centra Health Surges Ahead in its IT-Based Push to Value

July 25, 2018  |  Rajiv Leventhal
article
Two of the health system’s executive leaders recently spoke with Healthcare Informatics about Centra Health’s value-based care journey and how IT is playing a key role.

Has the Value-Based Care Train Stalled?

July 19, 2018  |  Rajiv Leventhal
commentary
When pondering the question of if the value-based care train has stalled, the answer will depend on which side of the healthcare stakeholder table you are asking—payers or providers.

New Blockchain Company Has Own Cryptocurrency Payment System

July 11, 2018  |  Rajiv Leventhal
news
A new blockchain company attests that it has its own cryptocurrency payment system, with the goal to restore and optimize patient-provider relationships.

The 2018 Healthcare Informatics 100 Product Breakouts

July 5, 2018  |  the Editors of Healthcare Informatics
article
As part of Healthcare Informatics 100 questionnaire, vendors were asked to estimate the percentage of revenue earned in each of their product segments sold. Inside, we reveal the top 5 companies by revenue within seven different categories.

GE to Spin Off Healthcare Unit as Separate Company

June 26, 2018  |  Rajiv Leventhal
news
General Electric (GE) will spin off its healthcare unit and operate it as a separate company, senior executives announced today.

Analysis: Early Years of VBP Models Show Limited Impact on Reducing Cost of Care

June 25, 2018  |  Heather Landi
news
The penetration of population-based value-based payment models is not yet having an impact on curbing growth in total cost of care, according to a new analysis by the Healthcare Financial Management Association (HFMA), Leavitt Partners and McManis Consulting.

CEO and CIO Priorities for Tech-Enabled Healthcare

June 21, 2018  |  Jason Fortin, Impact Advisors
article
During the recent 2018 Scottsdale Institute Annual Conference, a group of 22 CIOs from leading health-delivery organizations across the country gathered to discuss their CEOs’ top IT-related priorities. From that discussion, five key themes emerged.

What Does the Future Hold for athenahealth, and Its Customers? Industry Insiders Weigh In

June 19, 2018  |  Heather Landi
article
With new leadership coming in and a potential sale on the horizon, athenahealth is facing significant changes. Healthcare industry insiders weigh in on the company's possible suitors and how the changes could impact the company's customers.

Value-Based Care is Bending the Cost Curve, Report Finds

June 18, 2018  |  Rajiv Leventhal
news
Value-based care is bending the healthcare cost curve, reducing unnecessary medical costs by nearly 6 percent on average while also improving care quality and patient engagement, according to new research from Nashville-based Change Healthcare.

Taking a Deep Dive into the Healthcare Informatics 100—and the Health IT Market, Broadly

June 14, 2018  |  Michelle Mattson-Hamilton and Ben Rooks, ST Advisors
article
Executives from ST Advisors take a deep dive into the 2018 Healthcare Informatics 100 and weigh in on the biggest market deals of the past 18 months

Making Inroads into Telehealth: How One “Sub-Sector” of Healthcare Continues to Evolve (Part 1)

June 13, 2018  |  Rajiv Leventhal
article
In Part 1 of a two-part feature on the telehealth landscape, a partner at Alston & Bird discusses how providers are—and will continue to—fight through the many barriers that exist in the telehealth landscape.

Data and Cybersecurity Investments Ramp Up as Threats Reach All-Time High

June 12, 2018  |  Rajiv Leventhal
news
Companies are quickly ramping up investment in data and cybersecurity as they look to become more compliant with new data privacy protection and security regulations—and to avoid highly damaging data breaches, according to the 2018 Harvey Nash/KPMG CIO Survey.

What are the Greatest Use Cases for Blockchain in Healthcare? New Research Explores the Possibilities

June 6, 2018  |  Rajiv Leventhal
article
Greg Caressi, transformational health senior vice president, Frost & Sullivan, recently spoke with Healthcare Informatics about the role that blockchain could have in precision medicine, and other top use cases for blockchain in healthcare.

Up-and-Comers 2018: Aledade and Arcadia

June 5, 2018  |  David Raths
article
Each year, to accompany our Healthcare Informatics 100 list, we profile fast-growing companies that could very well make the list in the future. Inside are write-ups of the first two companies that made this year’s Up-and-Comers rendition.

BREAKING: The 2018 Healthcare Informatics 100: Our Annual Ranking of Healthcare IT Vendors by Revenue

June 4, 2018  |  the Editors of Healthcare Informatics
article
The editors of Healthcare Informatics are once again proud to present the newest edition of our unique industry offering: the Healthcare Informatics 100, a compilation of the top health IT companies based on HIT revenues from the most recent fiscal year.

athenahealth Continues to Weigh Acquisition Offer

May 31, 2018  |  Rajiv Leventhal
news
athenahealth, the Watertown, Mass.-based health IT vendor, has retained the company’s financial advisors and hired legal counsel as it continues to analyze Elliott Management’s acquisition offer.

Value-Based Care’s Landscape Tilt

May 31, 2018  |  Mark Hagland
article
As the healthcare landscape shifts, U.S. healthcare leaders are learning valuable lessons in how to prepare broadly to take on financial risk in contracts with the public and private purchasers and payers of healthcare, and how to engage and align physicians.

A Cloudy HIT Policy Picture is Beginning to Clear Up

May 29, 2018  |  Rajiv Leventhal
article
At this time last year, healthcare stakeholders were filled with uncertainty, as the future of healthcare policy remained very much in limbo. But in the past several months, an air of stability has presented itself.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

May 23, 2018  |  Rajiv Leventhal
news
Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (...

Survey: Healthcare Orgs with Multiple RCM Systems Have More Challenges with Denials

May 15, 2018  |  Heather Landi
news
More than two-thirds of health systems (about 70 percent) use more than one vendor for revenue cycle management, and those organizations that do use more than one solution report larger issues with denials, a recent survey found.

Cyber Attacks Increase as IT Security Budgeting Remains Static, Report Finds

May 14, 2018  |  Rajiv Leventhal
news
More than 90 percent of healthcare organizations have experienced a data breach since the third quarter of 2016, and nearly 50 percent have had more than five data breaches during the same timeframe, according to a recent report from Black Book Research.

GAO: Just 4 of 37 CMMI Payment Models Have Met Goals around Cost, Quality

May 11, 2018  |  Rajiv Leventhal
news
CMMI, created to test new and cost-effective approaches for delivering and paying for healthcare, has partially met its goals, while just four out of the innovation center’s 37 alternative payment models have actually achieved lower spending and higher quality.

Change Healthcare Partners with Adobe, Microsoft on Patient Engagement Tool

May 9, 2018  |  Heather Landi
news
Health IT company Change Healthcare is collaborating with Adobe and Microsoft on the development of patient engagement technology, specifically with the aim of giving providers a tool for patient engagement campaigns similar to what retailers use to engage...

Verma Criticizes “Upside-Only” ACOs in Remarks at AHA Membership Meeting

May 7, 2018  |  Rajiv Leventhal
news
At this week’s AHA annual membership meeting, CMS Administrator Seema Verma asserted that “upside-only” ACOs that do not take on downside risk are not producing good enough results.

Cerner’s Q1 Earnings “Below Expected Levels,” Company Presidents Says

May 4, 2018  |  Rajiv Leventhal
news
Cerner, the Kansas City-based EHR (electronic health record) vendor, announced that the company’s Q1 earnings, reported at $1.3 billion, were below expected levels.

AMA-Led Alternative Payment Model Aims to Improve Opioid Use Disorder

April 17, 2018  |  Rajiv Leventhal
news
The American Society of Addiction Medicine (ASAM) and the American Medical Association (AMA) have jointly announced the release of a concept paper detailing an alternative payment model (APM) that will aim to improve how patients with opioid use disorder are...

Survey: Measuring Care Quality a Top HIT Business Objective in 2018

April 16, 2018  |  Heather Landi
news
In a recent survey, health IT leaders identified measuring improvement in patient care quality as one of their top business objectives in 2018, followed by identifying areas of cost reduction.

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